Coronary artery compression by teflon pledget granuloma following aortic valve replacement
Cohle, SD
Forensic pathologist and attending cardiovascular surgeon, respectively,Blodgett Memorial Medical Center, Grand Rapids, MI.

Delavan, JW
Forensic pathologist and attending cardiovascular surgeon, respectively,Blodgett Memorial Medical Center, Grand Rapids, MI.


Abstract
We describe a massive fatal posterior myocardial infarct resulting from compression of the right coronary artery by a Teflon pledget granuloma in a patient who had undergone aortic valve replacement six months before death. Other iatrogenic causes of coronary artery occlusion or compression are discussed in this paper. To our knowledge this is the first report of this surgical complication.

Keywords:
aortic valve, cardiovascular system, coronary vessels injury, forensic pathology, forensic science, heart valve prosthesis, pathology and biology, postoperative complications, prosthetic devices, surgery, thoracic surgery adverse effects

Paper ID: JFS425970945

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Author Cohle SD, Delavan JW Title Coronary artery compression by teflon pledget granuloma following aortic valve replacement Symposium , Committee on